Anthony Bourdain and Kate Spade's deaths are part of a growing problem in the US

During an Out of the Darkness Walk event in 2017 a message board in Cincinnati is adorned with notes for loved ones who took their own lives

During an Out of the Darkness Walk event in 2017 a message board in Cincinnati is adorned with notes for loved ones who took their own lives

A study released Thursday shows the suicide rate in IL rose by almost 23% between 1999 and 2016 and the suicide rate in IN rose nearly 32%. In more than half of all deaths in 27 states, the individuals had no known mental health condition when they took their own life.

"These findings are disturbing. But there are probably many other factors", CDC principal deputy director Dr. Anne Schuchat told NBC News.

Mental-health problems, often undiagnosed, are usually involved and experts say knowing warning signs and who is at risk can help stop a crisis from becoming a tragedy.

Numerous factors seem to increase the risk of suicide, such as relationship problems, substance misuse, physical health challenges, financial issues or legal problems, the report found.

In North Dakota, the rate jumped more than 57 percent.

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Dr. Stone noted that historically some western states have the highest rates of suicide, which could be related to the fact that they tend to be more rural.

"Due to higher poverty rates, higher likelihood of hourly pay and productivity-based labor, and lack of transportation infrastructure, mental health services are often not accessible even if they are available in a rural community - that is, even though it is there, many people either can not get to it or can not afford (either directly or indirectly) to go", he said. But the researchers say about half of those who killed themselves were not known to have a mental health condition.

"In the story with Robin Williams, you saw a 10% increase in deaths especially among middle-aged men using the method that was described", said Ackerman, who was not involved in that previous study. Rates ranged from 6.9 per 100,000 in the District of Columbia to 29.2 per 100,000 in Montana. "And so a report like this really draws attention to the fact that we need to do a whole lot more to prevent suicide, to save lives". "We know that same approach can work with suicide". In light of the high-profile suicides and the alarming rates, a Goodlettsville woman shared with News4 the losses she's experienced. She and her colleagues recently analyzed suicides from 1999 to 2016.

"Following exposure to suicide or suicidal behaviors within one's family or peer group, suicide risk can be minimized by having family members, friends, peers, and colleagues of the victim evaluated by a mental health professional". "What are we doing as a nation to help people to manage these things?"

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